Provider Demographics
NPI:1053820464
Name:PARHAM, DARLENE LATASHA (RN)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:LATASHA
Last Name:PARHAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:LATASHA
Other - Last Name:PARHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:400 SAINT MARKS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-3720
Mailing Address - Country:US
Mailing Address - Phone:516-234-1908
Mailing Address - Fax:
Practice Address - Street 1:400 SAINT MARKS AVE
Practice Address - Street 2:2A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238
Practice Address - Country:US
Practice Address - Phone:516-234-1908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY738353163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health